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Our Plans

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You Buy Your Own Health Insurance

HealthyBlue encourages greater interaction between you and your Primary Care Physician (PCP) as you both work toward the goal of a healthier you. Partnering with your PCP can also help you to earn a financial reward – up to $200 for an individual and up to $500 for a family. With HealthyBlue, the focus is on you.

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Plan Highlights:
  • Rewards program - Earn up to $200 per adult or up to $500 per family
  • No cost, no copay for preventive care, well-child visits/immunizations and cancer screenings when you access care in-network
  • Access to an extensive provider network
  • No referrals required
  • Out-of-network benefits
Plan Comparison (In- and Out-of-Network Comparison)

 

HealthyBlue Plans

 

 
Gold $1,500
Platinum $0
Network
In-Network
Out-of-Network
In-Network
Out-of-Network
Provider Network 28,000
BlueChoice providers
and 72 area hospitals
600,000 BlueCard providers and 4,500 hospitals or
Non-participating providers
28,000 BlueChoice providers
and 72 area hospitals
600,000 BlueCard providers and 4,500 hospitals or
Non-participating
providers
PCP Selection Yes Yes Yes Yes
Referrals No No No No
Routine Adult Physical
(includes routine OB/GYN
visits)
$0 $0 $0 $0
Sick Visits
(with PCP)
$0 PCP, no deductible,
$40 Specialist,
no deductible
$40 copay
after deductible
$0 PCP, no deductible
$30 Specialist,
no deductible
$30 copay
after deductible
Well-Child Care
(includes exams
and immunizations)
$0 $0 $0 $0
Mammogram $0 $0 $0 $0
Pap Smear,
Prostate and Colorectal
$0 $0 $0 $0
Lab, X-Ray, Diagnostic Testing $0 Deductible, then $0 $0 Deductible, then $0
Urgent Care Center (participating) $50 copay
no deductible
$50 copay
no deductible
$50 copay
no deductible
$50 copay
no deductible
Healthy Reward

Your Healthy Reward Will Save You Money

Complete 3 simple steps within 180 days of enrolling in HealthyBlue and you will receive your Healthy Reward.

Earn up to $200 per adult or up to $500 per family. Each member of your family between ages 2-17 is eligible for a $25 reward.

 

Three Steps for Adults 18+
Complete these steps and earn up to $200 per adult.

  1. Select a PCP online through My Account  
  2. Complete your Health Assessment and provide consent to share the results with your PCP
  3. Complete the Health and Wellness Evaluation Form
    • Print and complete the form with your PCP
    • Submit online by logging into My Account


Two Steps for Children 2- 17 Years
Complete these steps and earn $25 for each child.

  1. Select a PCP online through My Account 
  2. Complete the Health and Wellness Evaluation Form
    • Print and complete the form with your PCP
    • Submit online through My Account


Using Your Reward
Once you complete the required steps, we will send you a Healthy Reward gift card which can be used to pay your deductible, premium payments or for fitness-related items. It’s your choice! 

See the full list of approved services

To view your Healthy Reward status, you can login to My Account.


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